Hsieh Pei-Lun, Lee Ya-Chen, Yang Shang-Yu, Lin Ying-Lien, Huang Yu-Ru
Department of Nursing, College of Health, National Taichung University of Science and Technology, Taiwan.
Department of Occupational Therapy, College of Medical and Health Science, Asia University, Taiwan.
Ind Health. 2022 Dec 1;60(6):514-524. doi: 10.2486/indhealth.2021-0160. Epub 2021 Nov 24.
In Taiwan, over 80% of home caregivers have experienced musculoskeletal disorders (MSD) in the past year. Although MSDs in health care workers have been discussed in existing literature (e.g., in nursing staff), there is limited understanding of the association between MSD and the work content of home caregivers. This study aimed to investigate the correlation between the work content and MSD of home caregivers. This cross-sectional study was conducted in long-term care units in central Taiwan. A structured questionnaire was used to collect data, including basic information, work content survey, and information from the Nordic Musculoskeletal Questionnaire. Logistic regression analysis was used to examine the association between work content and MSD. A total of 149 home caregivers with a mean age of approximately 50.97 ± 9.80 years were recruited for the study. The frequency of transfer of toilet and wheelchair was significantly associated with shoulder discomfort, upper back discomfort, and wrists/hands discomfort. In addition, the frequency of passive range of motion exercise was significantly associated with elbows discomfort. The results of this study indicated that the highest risk factor for MSD was transfer of toilet and wheelchair followed by passive range of motion exercise.
在台湾，超过80%的家庭照顾者在过去一年中经历过肌肉骨骼疾病（MSD）。尽管现有文献中已讨论过医护人员的肌肉骨骼疾病（如护理人员），但对于肌肉骨骼疾病与家庭照顾者工作内容之间的关联了解有限。本研究旨在调查家庭照顾者的工作内容与肌肉骨骼疾病之间的相关性。这项横断面研究在台湾中部的长期护理单位进行。使用结构化问卷收集数据，包括基本信息、工作内容调查以及北欧肌肉骨骼问卷的信息。采用逻辑回归分析来检验工作内容与肌肉骨骼疾病之间的关联。本研究共招募了149名家庭照顾者，平均年龄约为50.97±9.80岁。协助使用马桶和轮椅转移的频率与肩部不适、上背部不适以及手腕/手部不适显著相关。此外，被动关节活动度练习的频率与肘部不适显著相关。本研究结果表明，肌肉骨骼疾病的最高风险因素是协助使用马桶和轮椅转移，其次是被动关节活动度练习。
